{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:10:58Z","timestamp":1786122658670,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100020410","name":"T\u00fcrkiye Sa\u011fl\u0131k Enstit\u00fcleri Ba\u015fkanl\u0131\u011f\u0131","doi-asserted-by":"publisher","award":["31112"],"award-info":[{"award-number":["31112"]}],"id":[{"id":"10.13039\/100020410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>Postural kyphosis is a prevalent musculoskeletal condition characterized by impaired postural control, reduced quality of life, and an increased risk of psychosocial complications. This study aimed to investigate the effects of adding telerehabilitation\u2010based motor imagery (MI) to home exercises on kyphosis level, posture, pain, depression, and quality of life in young adults with postural kyphosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010five young adults with postural kyphosis were randomly assigned into two groups: Home Exercise (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a019) and Home Exercise\u00a0+\u00a0MI Group (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a016). The outcome measures included the kyphosis index (KI), wall occiput distance (W\u2010OD), New York posture analysis (NYPA), visual analog scale (VAS), Beck depression scale (BDS), and scoliosis research society\u201022 (SRS\u201022).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups showed significant within\u2010group changes over time on the majority of outcomes (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). Compared with exercise alone, the Exercise\u00a0+\u00a0MI group showed greater improvements in KI (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001,\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a02.16), NYPA (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001,\n                      <jats:italic>g<\/jats:italic>\n                      \u00a0=\u00a01.39), BDS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001, SMD\u00a0=\u00a01.33), and SRS\u201022 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001, SMD\u00a0=\u00a02.53).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Integration of MI into the telerehabilitation\u2010delivered home\u2010based exercise program showed significant improvements in postural alignment, depressive symptoms, and quality of life in young adults with postural kyphosis, compared with exercise alone. However, no difference was found in terms of pain reduction and postural stability. These findings suggest that MI may enhance neuromotor control and psychosocial outcomes when integrated into telerehabilitation\u2010based exercise programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/\">https:\/\/clinicaltrials.gov\/<\/jats:ext-link>\n                      NCT07122791\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70268","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T12:34:34Z","timestamp":1783514074000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of a Telerehabilitation\u2010Based Motor Imagery and Exercise Program on Postural Kyphosis in Young Adults: A 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University\u2010Cerrahpasa Graduate Education Institute  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8141-6977","authenticated-orcid":false,"given":"Yildiz Analay","family":"Akbaba","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy and Rehabilitation Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Istanbul University\u2010Cerrahpasa  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000184366.71761.84"},{"key":"e_1_2_12_3_1","volume-title":"Acsm's Guidelines for Exercise Testing and Prescription","author":"American College of Sports 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